Individual provider Active NPI

Abeir A Younise

  • Behavior Analyst
  • Ridgewood, NY
National Provider Identifier
1508419912
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
992366151 Issued in NY
Practice address
5911 68TH Ave # 2L
Ridgewood, NY 11385-4441
Phone
(646) 639-8382
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 992366151 NY Primary

Addresses

Primary practice location

5911 68TH Ave # 2L
Ridgewood, NY 11385-4441

Mailing address

5911 68TH Ave # 2L
Ridgewood, NY 11385-4441
Phone (646) 639-8382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
992366151NYMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1508419912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 68TH AVE # 2L",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854441",
            "telephone_number": "646-639-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 68TH AVE # 2L",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854441",
            "telephone_number": "646-639-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNISE",
        "first_name": "ABEIR",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "992366151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.